Wagoner, Jessica B
Wagoner, Jessica B is an individual health care provider with primary practice located at 244 Medspring Dr , Clayton NC 27520-9293. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wagoner, Jessica B can be contacted via phone (919) 359-0291.Contact Information
Primary practice address
244 Medspring Dr
Clayton NC 27520-9293
Phone: (919) 359-0291
Fax: (919) 553-2907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-04444 | North Carolina |
Profile Details
| NPI number | 1841625126 |
|---|---|
| LBN Legal business name | Wagoner, Jessica B |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2013 |
| Last updated | Mar 30th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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